Individual
ALLYSON KUBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
223 N VAN DIEN AVE, RIDGEWOOD, NJ 07450-2726
(201) 447-8000
Mailing address
223 N VAN DIEN AVE, RIDGEWOOD, NJ 07450-2736
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ14974400
NJ
Other
Enumeration date
10/30/2023
Last updated
12/13/2023
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